Code 31 other on sick leave what does it mean


Classification of sick leave codes and their decoding

The structure of a sick leave certificate (certificate of incapacity for work, approved by order of the Ministry of Health and Social Development of the Russian Federation dated April 26, 2011 No. 347n) provides for the use of such types of codes as:
1. Codes of the cause of incapacity for work.

There are 15 codes in total for the cause of disability on the sick leave (their decoding is also given in Order No. 347n).

These 2-digit codes are entered in the “Code” cell directly opposite the line “Cause of disability.”

If the original disability code on the sick leave certificate needs to be changed, the new one must be entered in the “Change code” cell, which is located next to it.

2. Additional codes.

They are recorded next to the disability code in certain cases. Namely if:

  • the person is undergoing treatment in a sanatorium (in this case, an additional code 017 is entered on the sick leave);
  • the employee is undergoing treatment in a sanatorium due to an incident at work (code 018);
  • the person is being treated in a clinic belonging to a research organization (code 019);
  • the employee is granted additional maternity leave (code 020);
  • the employee fell ill due to intoxication or actions related to it (code 021).

3. Codes reflecting family relationships.

They are indicated above the line “Family relationship” if the sick leave is issued for an employee who does not go to work due to caring for a sick family member. In this case, the code must correlate with the one that reflects the cause of disability. If this is code 38, indicating that the employee is a mother and is caring for a child, then code 09 is entered in the line “Cause of disability.”

4. Code reflecting the employee’s violation of the treatment regimen.

Fixed opposite the line “Note about violation of the regime”, if a corresponding violation has taken place. For example, code 24 indicates that a sick employee did not show up for an appointment with a doctor at the appointed time.

5. Other codes.

Indicated opposite the line “Other”. May reflect other significant information about the employee’s health status. For example, if this is code 31, it will mean that the employee has not recovered and is going on new sick leave.

6. Code reflecting the conditions for calculating compensation for sick leave.

Fixed in the line “Accrual conditions”. For example, if a person has already left the company, but fell ill within 30 days after dismissal, code 47 is entered. If necessary, several codes can be indicated in the corresponding line.

Among other significant elements of the document on which compensation for temporary disability is calculated is the subordination code on the sick leave. It, unlike the codes discussed above, is not unified and is set depending on the region of registration of the company in the Social Insurance Fund. You can find out this code from the notice of registration of the employer with this department or by contacting them.

Disease codes on sick leave with explanations

Why does an accountant need to know what the codes on the sick leave mean? To correctly calculate benefits. There are situations when the correct decoding determines which days of the ballot need to be paid based on average earnings, and which days based on the minimum wage. Sometimes the codes tell you what percentage of length of service should be used when calculating benefits. These and other subtleties are discussed in this article.

It shows in encrypted form on what basis the person was given a ballot. This code is entered on the sick leave certificate in the “Cause of disability” field. It consists of three blocks:

  1. Two cells labeled “code”. They indicate the code of the reason why the employee went to the doctor on the first visit and received a certificate of incapacity for work.
  2. Three cells with the signature “additional code”. They are filled out only in certain cases (see table).
  3. Two cells labeled “change code.” They are filled out in a situation where the cause of disability has changed (for example, when the original diagnosis is corrected).

All values ​​with explanations are given in the order in which certificates of incapacity are issued (approved by order of the Ministry of Health and Social Development dated June 29, 2011 No. 624n) and on the reverse side of the ballot form.

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Table with decoding of disability codes on sick leave

First block (initial reason for visiting a doctor)
CodeDecoding
01Disease
02Injury
03Quarantine
04Accident at work or its consequences
05Maternity leave
06Prosthetics in hospital
07Occupational disease or its exacerbation
08Aftercare in a sanatorium
09Caring for a sick family member
10Other condition (poisoning, manipulation, etc.)
11The disease specified in paragraph 1 of the List of Socially Significant Diseases (approved by Decree of the Government of the Russian Federation dated December 1, 2004 No. 715). For example, tuberculosis, hepatitis B, C, diabetes, etc.
12Care for a child under 7 years of age, if his illness is included in a special list (approved by order of the Ministry of Health and Social Development dated February 20, 2008 No. 84n)
13Caring for a disabled child
14Caring for a child whose illness is associated with a post-vaccination complication or malignant neoplasm (indicated with the consent of the employee)
15Caring for an HIV-infected child (indicated with the consent of the employee)
Second block (additional three-digit codifiers)
CodeIn what case is it indicated?
017During treatment in a specialized sanatorium
018During sanatorium-resort treatment in connection with an industrial accident during a period of temporary incapacity for work (before referral to medical examination)
019When treated in a clinic of a research institution (institute) of balneology, physiotherapy and rehabilitation
020With additional maternity leave
021In case of illness or injury resulting from alcohol, drug, toxic intoxication or actions related to such intoxication

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Sick leave codes 01, 02

Code 01 on the sick leave means that the employee was absent from work due to illness (flu, pneumonia, sinusitis, etc.).

Code 02 means that the person missed work due to injury.

Having received a bulletin with one of these codes, the personnel officer must reflect the information in the work time sheet (usually they use forms No. T-12 or No. T-13, approved by Resolution of the State Statistics Committee dated 01/05/04 No. 1). The corresponding days are marked with the symbols “B” or “19”.

Next, the accountant calculates temporary disability benefits (for more details, see: “Payment of sick leave in 2019”). In this case, the employer pays for the first three days at his own expense.

The remaining days, starting from the fourth, are financed by the FSS. This is stated in paragraph 1 of part 2 of article 3 of the Federal Law of December 29.

06 No. 255-FZ “On compulsory social insurance in case of temporary disability and in connection with maternity.”

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Sick leave code 04

Code 04 on the certificate of incapacity for work means that the person missed work due to an accident at work or its consequences.

In the report card in form No. T-12 or No. T-13, days of absence are marked with the symbols “B” or “19”.

Benefits under such a bulletin must be issued for the entire period up to the date of recovery or until the fact of permanent disability is established.

The payment amount is calculated based on 100% of average earnings, regardless of length of service, but for a full calendar month cannot exceed the maximum amount.

It is equal to the maximum monthly insurance payment approved by law, multiplied by four (Article 9 of Federal Law No. 125-FZ of July 24, 1998).

IMPORTANT. First, the organization or individual entrepreneur pays the benefit from its own money, and then can reimburse it from the Social Insurance Fund.

To do this, it is necessary that the incident be investigated by a special commission, which recognized it as an accident (Article 229 of the Labor Code).

Next, the accountant must reflect the costs of the benefit in Table 3 of the calculation in Form 4-FSS (approved by Order of the FSS dated September 26, 2016 No. 381).

Fill out and submit 4‑FSS online for free using the current form

Mode violation codes 23, 24

Significant information is contained in the field of the sick leave sheet, which is called “Notes on violation of the regime.” A two-digit code and the date of violation are entered here. The following marks are most often used.

Code 23 indicates non-compliance with the prescribed regimen, unauthorized leaving the hospital, traveling for treatment to another administrative region without the permission of the attending physician.

Code 24 indicates late attendance at a doctor's appointment.

If these values ​​are present, then starting from the date specified in this field, the benefit must be calculated in an amount that does not exceed for a full calendar month the minimum wage established for the current year and multiplied by the regional coefficient (if any). This rule applies even if the employee’s actual average earnings exceed the minimum wage.

Example

The specialist's experience is 15 years, his average earnings are more than the minimum wage.

From February 10 to February 17, 2021, he was treated in a hospital. On February 14, the employee violated the regime, and the doctor made a note on the bulletin.

The accountant calculated the allowance:

  • for the period from February 10 to February 13 - based on the actual average earnings multiplied by 100%;
  • for the period from February 14 to 17 - according to the formula: minimum wage for 2021, divided by 29 (the number of days in February) and multiplied by 4 (the number of days of sick leave, starting from the date when the regime was violated).

Line “Other” (code 31, 36)

It contains additional information in encrypted form. Here are some of them.

Code 31 means that a person needs long-term treatment, and although he was given a certificate of incapacity for work, he continues to be ill. In this case, he submits the primary sheet to the accounting department and receives benefits for the first part of the illness. In this document, the “Get Started” field is not filled in. And in the “Other” field there is code 31, which stands for “continues to hurt.”

Code 36 indicates the following situation. The employee, while on sick leave, missed his next doctor's appointment. And when he showed up (later than the appointed date), he was recognized as able to work. The ballot fields are filled in as follows:

  • “Notes on violation of the regime” - worth 24 and the date of the missed appointment;
  • “Exemption from work” - the period from the onset of illness to the date of the missed appointment is indicated;
  • “Other” - costs 36;
  • “Get Started” remains blank.

ATTENTION. The benefit for the ballot, in which code 36 is indicated in the “Other” field, is calculated as follows. From the onset of illness to the date preceding the absence - based on actual average earnings. For a day of failure to appear - in an amount not exceeding for a full calendar month the minimum wage established for the current year and multiplied by the regional coefficient (if any).

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Subordination code on sick leave

This field is located in the section of the certificate of incapacity for work that employers fill out.

Here you need to enter the five numbers assigned to the company or entrepreneur when registering with the Social Insurance Fund. You can view them in the registration notice received at the FSS office.

What codes should an employer provide?

The employer should put the subordination code in the bulletin and fill out the “Calculation conditions” field (the codes are given on the back of the sick leave form).

Doctors indicate all other codes, in particular: reasons for disability, notes on violation of the regime and the corresponding values ​​in the “Other” field.

IMPORTANT. If doctors filled out a sick leave certificate with errors (including incorrect disease codes), and the accounting department paid for it, the Social Insurance Fund will most likely refuse to reimburse the benefit. But the courts support policyholders in such situations.

Source: https://www.BuhOnline.ru/pub/beginner/2019/11/15226

Causes of illness and legal consequences for the employer (codes 01, 02, 04)

What is the impact of recording certain codes on the certificate of incapacity in practice? What does sick leave code 01 or 02 mean?

Let's study these issues in the context of the possible legal consequences of indicating certain codes on the certificate of incapacity for work for the employer.

First of all, what specific cause of the employee’s illness is reflected in the sick leave (code “Cause of disability”) may be important:

  • One of the most common disease codes on sick leave is 01. It reflects the fact that the employee has contracted a common illness, such as ARVI. If this code is indicated on the sick leave, the employer calculates sick leave compensation in the usual manner established in paragraph 1 of Art. 14 of Law No. 255-FZ.
  • In turn, what does sick leave code 02 mean? The fact that the employee suffered an injury not related to work. The presence of sick leave code 02 implies that the employer has the same obligation to calculate the amount of compensation according to the general rules (in particular, taking into account the employee’s length of service).
  • The fact of injury at work is reflected on the sick leave using code 04. In this case, the enterprise must pay the employee compensation for sick leave in the amount of 100% of his average earnings (Clause 1, Article 9 of the Law “On Compulsory Social Insurance...” dated July 24, 1998 No. 125-FZ). This is a fundamental difference between the employer’s responsibilities compared to when the cause of incapacity 01 is indicated on the sick leave and the amount of compensation depends on the length of service.

Among the other responsibilities of the employer in the event of an employee’s work-related injury is an investigation of the incident in accordance with the requirements of the Labor Code of the Russian Federation, as well as the rules adopted in local documents. Actually, the presence of code 04 on an employee’s sick leave should not be a surprise to the employer, since it is unlikely that he will not be aware of what happened (and will not take the measures prescribed by the provisions of Articles 228–231 of the Labor Code of the Russian Federation even before the employee returns from sick leave).

But if the company really, for some reason, did not know that the employee was injured as a result of an incident at work, this relieves the employer of responsibility for its investigation, unless the employee applies for an investigation (Article 229.1 of the Labor Code of the Russian Federation).

You will learn more about the rules for calculating sick leave compensation in certain cases from the selection of materials in this section.

Code 31 sick leave

Is it allowed to renew a disability certificate in another locality? What is not considered a basis for extending the BC through this coding? In what cases is it not paid? Can the amount of social benefits be reduced?

What does this mean and in what cases is a ballot issued with this encoding in the “Other” line?

Code “31” is always placed in the “other” column in cases where the certificate of incapacity for work expires, but the employee is still sick. This code, like all others, is established by Order of the Ministry of Health and Social Development No. 347n.

The code itself is only the basis for:

  • filling out a new sick leave certificate;
  • continuation of treatment in another medical institution.

That is, along with it the following must be included in the ballot:

  • code of the main reason for disability or caring for a disabled family member (01-15);
  • code of violation of the regime, if the disabled employee committed them (23-28);
  • if available, additional data code (017-021);
  • dates of release from work duties signed by a doctor;
  • number of the new certificate of incapacity for work confirming the continuation of sick leave.

The presence of this code only closes the form, but not the sick leave itself. That is, the employee’s treatment must continue.

You may be interested to know what codes are on sick leave and how to pay for such a bulletin marked 01, 04, 02, 09, 11, 05 and 020, 32 and 36 in the “Other” column.

How is it paid?

Regardless of whether the employee continues to remain on sick leave or has begun to perform his duties, the employer undertakes to pay sick leave compensation by submitting the relevant information to the Social Insurance Fund.

The employee has the right to present one such sheet, while continuing to be treated under the second bulletin, and simultaneously all sick leave sheets. In the latter case, the calculation will be made based on the sum of days missed due to illness.

To determine the amount of compensation, the following data is taken into account:

  • insurance experience;
  • earnings of a disabled employee for a two-year period;
  • average daily earnings;
  • for less than six months of experience – the current minimum wage;
  • the total number of days on the certificate(s) of incapacity for work, including weekends and holidays.

Is it allowed to renew a disability certificate in another locality?

In accordance with the Procedure for issuing a certificate of incapacity for work, approved by Order of the Ministry of Health and Social Development No. 624n, issuing a sick leave certificate in another medical organization, including in another city, is possible.

However, it is worth considering that a trip to another city may be one of the reasons that violates the regime (code 23). Such a mark may result in a reduction in compensation payment.

What is not considered a basis for extending the BC through this coding?

In the event that the patient complains of poor health, but it is not confirmed by a doctor’s examination, the sick leave will not be extended. Accordingly, code 31 should not be indicated, but some doctors mistakenly write it on the sick leave.

It is necessary to contact the clinic where you were treated to correct this error and set the end date of the sick leave.

In what cases is it not paid?

There can be several situations with non-payment:

  • sick leave is extended without a medical examination confirming the continuation of the illness;
  • it was discharged retroactively;
  • the bulletin was issued by a medical institution operating without an appropriate license.

Can the amount of social benefits be reduced?

The amount of the benefit may be significantly reduced in cases where the employee violates the treatment regimen established by the attending physician.

In this situation, the corresponding code mark appears on the sick leave:

  • 23 – violation of the hospital regime, traveling to another locality contrary to the prohibition of the attending physician;
  • 24 – missing a doctor’s appointment or being late for one;
  • 25 – in the Other column indicates that the employee began work before the patient was discharged;
  • 26 – refusal to undergo medical examination;
  • 27 – failure to appear or being late at the institution where the commission is held;
  • 28 – other violations that were not provided for by the Order.

Code “31” entails the extension of sick leave and the establishment of a new sick leave.

Social Security Disability Benefits are calculated using the total amount of disability absences listed on both ballots.

In cases where a sick employee violates the regime established by the doctor, a code mark is also given. It entails a reduction in compensation payments.

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What do disability codes mean on a sick leave certificate?

Classification of sick leave codes and their decoding

Causes of illness and legal consequences for the employer (codes 01, 02, 04)

Code 11 on sick leave: employer's responsibilities

What do violation codes mean (23, 24)

Line “Other” (using code 31 as an example)

What does code 09 mean on sick leave: legal consequences for the employer

Application of a new sick leave (by order of the Ministry of Health and Social Development of Russia No. 347n): nuances

Results

Classification of sick leave codes and their decoding

The structure of a sick leave certificate (certificate of incapacity for work, approved by order of the Ministry of Health and Social Development of the Russian Federation dated April 26, 2011 No. 347n) provides for the use of such types of codes as:

1. Cause of disability codes.

There are 15 codes in total for the cause of disability on the sick leave (their decoding is also given in Order No. 347n).

These 2-digit codes are entered in the “Code” cell directly opposite the line “Cause of disability.”

If the original disability code on the sick leave certificate needs to be changed, the new one must be entered in the “Change code” cell, which is located next to it.

2. Additional codes.

They are recorded next to the disability code in certain cases. Namely if:

  • the person is undergoing treatment in a sanatorium (in this case, an additional code 017 is entered on the sick leave);
  • the employee is undergoing treatment in a sanatorium due to an incident at work (code 018);
  • the person is being treated in a clinic belonging to a research organization (code 019);
  • the employee is granted additional maternity leave (code 020);
  • the employee fell ill due to intoxication or actions related to it (code 021).

3. Codes reflecting family relationships.

They are indicated above the line “Family relationship” if the sick leave is issued for an employee who does not go to work due to caring for a sick family member. In this case, the code must correlate with the one that reflects the cause of disability. If this is code 38, indicating that the employee is a mother and is caring for a child, then code 09 is entered in the line “Cause of disability.”

4. Code reflecting the employee’s violation of the treatment regimen.

Fixed opposite the line “Note about violation of the regime”, if a corresponding violation has taken place. For example, code 24 indicates that a sick employee did not show up for an appointment with a doctor at the appointed time.

5. Other codes.

Indicated opposite the line “Other”. May reflect other significant information about the employee’s health status. For example, if this is code 31, it will mean that the employee has not recovered and is going on new sick leave.

6. Code reflecting the conditions for calculating compensation for sick leave.

Fixed in the line “Accrual conditions”. For example, if a person has already left the company, but fell ill within 30 days after dismissal, code 47 is entered. If necessary, several codes can be indicated in the corresponding line.

Among other significant elements of the document on which compensation for temporary disability is calculated is the subordination code on the sick leave. It, unlike the codes discussed above, is not unified and is set depending on the region of registration of the company in the Social Insurance Fund. You can find out this code from the notice of registration of the employer with this department or by contacting them.

Causes of illness and legal consequences for the employer (codes 01, 02, 04)

What is the impact of recording certain codes on the certificate of incapacity in practice? What does sick leave code 01 or 02 mean?

Let's study these issues in the context of the possible legal consequences of indicating certain codes on the certificate of incapacity for work for the employer.

First of all, what specific cause of the employee’s illness is reflected in the sick leave (code “Cause of disability”) may be important:

  • One of the most common disease codes on sick leave is 01. It reflects the fact that the employee has contracted a common illness, such as ARVI. If this code is indicated on the sick leave, the employer calculates sick leave compensation in the usual manner established in paragraph 1 of Art. 14 of Law No. 255-FZ.
  • In turn, what does sick leave code 02 mean? The fact that the employee suffered an injury not related to work. The presence of sick leave code 02 implies that the employer has the same obligation to calculate the amount of compensation according to the general rules (in particular, taking into account the employee’s length of service).
  • The fact of injury at work is reflected on the sick leave using code 04. In this case, the enterprise must pay the employee compensation for sick leave in the amount of 100% of his average earnings (Clause 1, Article 9 of the Law “On Compulsory Social Insurance...” dated July 24, 1998 No. 125-FZ). This is a fundamental difference between the employer’s responsibilities compared to when the cause of incapacity 01 is indicated on the sick leave and the amount of compensation depends on the length of service.

Among the other responsibilities of the employer in the event of an employee’s work-related injury is an investigation of the incident in accordance with the requirements of the Labor Code of the Russian Federation, as well as the rules adopted in local documents.

Actually, the presence of code 04 on an employee’s sick leave should not be a surprise to the employer, since it is unlikely that he will not be aware of what happened (and will not take the measures prescribed by the provisions of Art.

228–231 of the Labor Code of the Russian Federation even before the employee returns from sick leave).

But if the company really, for some reason, did not know that the employee was injured as a result of an incident at work, this relieves the employer of responsibility for its investigation, unless the employee applies for an investigation (Article 229.1 of the Labor Code of the Russian Federation).

You will learn more about the rules for calculating sick leave compensation in certain cases from the selection of materials in this section.

Code 11 on sick leave: employer's responsibilities

Other responsibilities may arise for the employer if the disease code on the sick leave certificate is 11. It reflects the fact that the employee suffered the disease specified in clause 1 of the list of socially significant ones, approved. by Decree of the Government of the Russian Federation dated December 1, 2003 No. 715, - tuberculosis.

Source: https://prioritetspb.ru/2019/09/kod-31-bolnichnogo-lista/

Code 11 on sick leave: employer's responsibilities

Other responsibilities may arise for the employer if the disease code on the sick leave certificate is 11. It reflects the fact that the employee suffered the disease specified in clause 1 of the list of socially significant ones, approved. by Decree of the Government of the Russian Federation dated December 1, 2003 No. 715, - tuberculosis.

In this case, the duration of treatment can be up to 12 months (Clause 4, Article 59 of the Law “On the Fundamentals of Health Protection...” dated November 21, 2011 No. 323-FZ), and the employer must be prepared to compensate for it. The maximum duration of treatment in the general case is 10 months (clause 13 of the procedure approved by order of the Ministry of Health and Social Development of the Russian Federation dated June 29, 2011 No. 624n).

In addition, if an employee, along with a sick leave certificate, brings a medical order according to which he will need to be transferred to another position for health reasons, the employer will be obliged to provide such a position or remove the employee from work and pay him temporary disability benefits (Article 73 of the Labor Code of the Russian Federation , paragraph 3 of article 14 of the law “On preventing the spread of tuberculosis” dated June 18, 2001 No. 77-FZ).

What do violation codes mean (23, 24)

Knowing what code 01 means on a sick leave certificate is not enough. It is also necessary to check whether the medical institution has identified other circumstances characterizing the employee’s state of health. Which for example?

Thus, the commonly used sick leave code 01 can be supplemented with a code that gives the employer a basis for reducing the amount of compensation for sick leave. These may be codes that reflect (Clause 1, Article 8 of the Law “On Compulsory Social Insurance...” dated December 29, 2006 No. 255-FZ):

  • non-compliance with the prescribed treatment regimen (code 23 in the line “Note about violation of the regimen”);
  • failure to appear for a medical examination on time (code 24 in the line “Note about violation of the regime”);
  • illness due to intoxication (code 021 in the “Additional code” line).

Sick leave compensation in this case is reduced to the level of the minimum monthly wage:

  • from the moment of violation under codes 23 and 24;
  • for the entire period of illness using code 021.

Read more about paying sick leave for alcohol intoxication here.

Thus, deciphering the disease code on the sick leave sheet 01, 02, 04 must necessarily be done taking into account the possible presence of the 3 considered codes in the document. Their presence directly affects the size of the company’s obligations for sick leave compensation.

Line “Other” (using code 31 as an example)

In some cases, along with disease codes, information on the line “Other” is recorded on sick leave. For example, code 31, reflecting the fact that the employee did not have time to recover and cannot go to work (the consequence may be the opening of another certificate of incapacity for work).

The fact that the employer received this sheet with code 31 obliges him to pay compensation for it, calculated in the prescribed manner, despite the fact that the employee has not yet returned to work. A sick leave with code 31 is considered closed one way or another. The total number of sheets does not matter: the employer is obliged to pay for each one brought by the employee.

These are the features of deciphering sick leave in cases where the employee himself falls ill. But situations are possible in which it is not he who is sick, but his relative. In this case, a special code is entered on the certificate of incapacity - 09. Let us study what legal consequences its presence on sick leave can create for the employer.

What does code 31 on a sick leave mean?

To simplify the system for issuing sick leave, the Ministry of Health and Social Development has developed a code system for designating the causes of disability.

In case of serious illnesses and injuries, situations arise when the three doctor’s appointments established by the bulletin are not enough and the employee continues to be ill. For such cases, a sick leave extension system and its code designation are provided.

What encodings are used to mark the certificate of incapacity for work in the Other column and what each of them means, as well as how such a sick leave is paid for, we will consider further.

Dear readers! Our articles talk about typical ways to resolve legal issues, but each case is unique.

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What does code 09 mean on sick leave: legal consequences for the employer

If an employee’s sick leave is coded 09, this means that he was absent from work due to caring for a child who was sick. Indication of this code in the document implies payment of sick leave in an amount determined in the general manner, as if code 01 or 02 were on the sick leave. As for the number of paid days an employee is on sick leave, it is established taking into account certain provisions of the law.

The duration of paid sick leave for an employee who was absent from work to care for a child is (Article 6 of Law No. 255-FZ):

1. If the child is under 7 years old:

  • 90 days a year if the child’s illness is reflected in the list approved by order of the Ministry of Health and Social Development of the Russian Federation dated February 20, 2008 No. 84n;
  • 60 days in other cases.

2. If the child is from 7 to 15 years old - up to 45 days a year for all cases of illness (no more than 15 days for each individual case).

3. If the child is under 18 years old:

  • up to 120 days if the parent is caring for a child with disabilities;
  • without restrictions, if a parent is caring for a child with HIV;
  • without restrictions, if a parent is caring for a child who has suffered from vaccination complications or is undergoing treatment for malignant neoplasms.

These rules are the same for employees, regardless of whether their child is a son or daughter, grandson or granddaughter.

IMPORTANT! The specified time restrictions relate specifically to the payment of sick leave, and not to the duration of stay. Read more here.

Explanations for filling out a certificate of incapacity for work

1 question. How to apply clause 6 of the Procedure for issuing certificates of incapacity for work, approved by order of the Ministry of Health and Social Development of Russia on June 29, 2011 No. 624n (hereinafter referred to as the Procedure) if the certificate of incapacity for work was opened in a hospital and, according to clause 19, was extended to ten calendar days for a disabled patient on an outpatient basis?

In the case when, after inpatient treatment, a citizen, remaining incapacitated, is sent to continue treatment at the clinic at his place of residence,

and on the day of reporting to the clinic continues to remain incapacitated,
the clinic indicates code 31 in the certificate of incapacity for work issued by the hospital in the “other” line,
and issues a new certificate of incapacity for work, which is a continuation of the certificate of incapacity for work issued by the hospital.
If a citizen who is incapacitated for work on the day of discharge from the hospital is able to work at the clinic, the clinic fills out the line “Get to work” on the certificate of incapacity for work issued by the hospital and discharges the employee to work.
2. Question. Is a certificate of incapacity for work for caring for a sick child issued to an insured person on weekends and non-working holidays?

This is interesting: Who pays the rent when selling an apartment after the transaction?

Answer: According to paragraph 41 of the Procedure, if a child becomes ill during the period when the mother (another family member actually caring for the child) does not need to be released from work (annual paid leave, maternity leave, parental leave until the child reaches age age of 3 years, leave without pay), a certificate of incapacity for work to care for a child (in the case when he continues to need care) is issued from the day when the mother (another family member actually caring for the child) must begin work.

In accordance with Part 8 of Article 6 of Law No. 255-FZ, temporary disability benefits are paid to the insured person in all cases for calendar days falling within the corresponding period, in connection with this from the period when the mother (other family member actually caring for the child ) does not require release from work, weekends and non-working holidays are excluded. Thus, if a child falls ill on a weekend or a non-working holiday, a certificate of incapacity for caring for him is issued in the general manner from the day the child was examined by a doctor.

3. Question. Should certificates of incapacity for work be accepted for payment if the certificates of incapacity for work indicate a number and quotation marks in the line “name of medical organization”, “name of organization”.

Answer: Indication of quotation marks, periods, commas, dashes, and numbers in the names of organizations (separate divisions) is not a basis for reissuing a certificate of incapacity for work and refusing to assign and pay benefits for temporary disability, pregnancy and childbirth.

4. Question. Will a student be issued a certificate of incapacity for work if he gets sick during internship?

Answer: In case of illness (injury, poisoning), students of educational institutions of primary, secondary, higher, and vocational education are issued a certificate for exemption from studies. However, if a student falls ill while carrying out paid work while undergoing practical training, as well as if he performs work under an employment contract, a certificate of incapacity for work is issued to him on a general basis.

5. Question. If the certificate of incapacity for work has folds, creases, or wrinkles, should it be replaced with a new one?

Answer: If, when filling out a certificate of incapacity for work, the filling procedure is followed, there are no errors in the completed lines and columns, but the sheet has folds (creases), then there are no grounds not to accept such a certificate of incapacity for payment.

6. Question. On the sick leave certificate, instead of the stamp “For certificates of incapacity for work,” there is a stamp “For sick leave certificates.” Should it be replaced?

Answer: Some medical institutions continue to use the seal “For sick leave certificates”, since neither the Order of the Ministry of Health and Social Development of the Russian Federation No. 514 (hereinafter referred to as Order No. 514), which determined the Procedure for issuing sick leave certificates by medical organizations, was in force until July 22, 2011. Neither in the Order of the Ministry of Health and Social Development of the Russian Federation dated June 29, 2011 No. 624n (hereinafter referred to as Order No. 624n), which approved the new Procedure for issuing certificates of incapacity for work, there is no prohibition on the use of the seal “For sick leave certificates”.

7. Question. If there is an error in the new form of sick leave certificate, how will changes be made?

Answer: If a mistake is made when filling out a certificate of incapacity for work in a medical institution, then in this case the certificate of incapacity for work is considered damaged and a new certificate is issued in its place.

If an error is made in the “filled in by the employer” section, then the erroneous entry is carefully crossed out, the correct entry is made on the back of the form of the certificate of incapacity for work, confirmed by the entry “corrected to believe”, the signature and seal of the employer. Errors may not be corrected by correction or other similar means.

8. Question. What is the procedure for obtaining a certificate of incapacity for work for pregnancy and childbirth in the case where the right to maternity leave accrued during the woman’s stay abroad?

Answer. In accordance with paragraph 7 of the Procedure, documents confirming the temporary disability of citizens during their stay abroad (after a legalized transfer), by decision of the medical commission of a medical organization, can be replaced with certificates of incapacity for work of the standard standard in the Russian Federation. This rule also applies to cases where the right to maternity leave accrues while staying abroad.

Thus, according to paragraph 46 of Order No. 624n, a certificate of incapacity for work for pregnancy and childbirth is issued at 30 weeks of pregnancy at a time for a duration of 140 calendar days.

If the gestation period of 30 weeks occurred during the period of the insured woman’s stay abroad (for example, during annual paid leave) and she was issued a document confirming the occurrence of the specified period,

This document, after a legalized translation, by decision of the medical commission of a medical organization,
can be replaced with a certificate of incapacity for work of the standard standard in the Russian Federation.
9. Question. If in the “release from work” column only one is occupied

line, put a dash on the other two - Z, as before, or

Answer. to put dashes or Zs on empty lines .

Leave blank.

10. Question. If, when filling out a certificate of incapacity for work, there is contact with the boundaries of the cells of the information field, is such a certificate of incapacity for work subject to replacement with a new one?

Answer. No, not subject

for the duration of the transition period until the complete transition to computer processing of certificates of incapacity for work.

11. Question. If there are extra gaps in the cells on the certificate of incapacity for work? For example, there are spaces when writing the names of the medical institution and the organization itself, as well as the initials of the doctor, not in one, but in two cells.

Answer. Spaces between words on the lines of the certificate of incapacity for work are required. At the same time, the Procedure stipulates that the data on the sheet is given through a space into one cell.

At the same time, if a larger number of spaces are made on the sheet, then such a defect is not considered a significant violation of the rules for issuing certificates of incapacity for work. This means there is no need to replace it,

Such a deficiency is not considered a basis for refusal to reimburse expenses for benefits.

12. Question. If the sheet contains a fuzzy seal from a medical organization

or does it protrude beyond the space allotted for it?

Answer. The seal of a medical organization may appear

outside the designated area. The main thing is that it does not fall into the cells of the information field of the certificate of incapacity form (clause 56 of the Procedure).

Minor flaws in the design of the sheet, such as unclear printing or letters, if this does not interfere with the identification of data,

necessary for the correct assignment of benefits are not considered a critical error.
The employee does not need to replace the certificate of incapacity for work due to such shortcomings with a new form.
13. Question. How should repeated violations of the regime be noted in the appropriate column on the certificate of incapacity for work (after the first violation has already been noted)?

Answer. A one-time violation of the regime without a good reason is already

basis for reducing the amount of benefits, therefore the new form
does not provide columns
for entering information about repeated violations of the regime.

14. Question. How many certificates of incapacity for work are issued to a mother when simultaneously caring for 2 or more children?

Answer. When caring for 2 children


one certificate
is issued . There are two lines in the “care” section. The first indicates the data of the first child, the second - the second.

When caring for more than two children


a second certificate
is issued , in the first and second row of cells of the care lines the data of other children being cared for is indicated, the remaining lines are filled out identically to the lines of the first certificate of incapacity for work. It should be noted that payment of temporary disability benefits in connection with caring for a sick child on the second certificate of incapacity for work should be made from the date following the closure of the first certificate.

15. Question. What code should be indicated on the certificate of incapacity for work issued to care for a sick child 09 or 12?

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Answer. Each code is associated with the subsequent calculation of benefits and the duration of temporary disability associated with the need to care for family members. Therefore, the certificate of incapacity for work indicates code 09 when caring for a sick child or other family member is required, and code 12 when caring for a child under 7 years old suffering from a disease that is included in a special list approved by order of the Ministry of Health and Social Development of the Russian Federation dated February 20, 2008. No. 84n.

16. Question. Is it necessary to apply for (place of work) a certificate of incapacity for work if a citizen works for one employer?

Answer. O (place of work) must be entered, except for cases when the patient is registered at the employment center.

17. Question. How is a certificate of incapacity for work issued if a citizen, after issuing or extending a certificate of incapacity for work, does not show up for an appointment, and at the next visit is declared incapacitated?

Answer. The issuance and extension of a certificate of incapacity for work is carried out by a medical worker after examining the citizen and recording data on his state of health in the medical record of an outpatient (inpatient) patient, justifying the need for temporary release from work.

In accordance with Part 8 of Article 6 of the Federal Law of December 29, 2006. No. 255-FZ “On compulsory social insurance in case of temporary disability and in connection with maternity” (hereinafter referred to as Law 255-FZ), temporary disability benefits are paid to the insured person for calendar days falling on the corresponding period, with the exception of calendar days falling for the periods specified in Part 1 of Article 9 of Law 255-FZ.

Taking into account this definition and the provisions of Article 13 of Law 255-FZ, temporary disability benefits paid on the basis of a certificate of incapacity for work are calculated for calendar days falling on the period of temporary disability specified in a specific certificate of incapacity for work, which is calculated from the first to the last entry in the table “ Release from work”, i.e. the period when the citizen was examined by a doctor.

Including a period of temporary incapacity for work on the certificate of incapacity for work when the citizen was not examined by a medical professional and was declared incapacitated at the next visit to the doctor is not justified, since this requirement is not provided for by the Procedure.

At the same time, if, after an untimely visit to the doctor, a citizen is still recognized as incapacitated at the next visit to the doctor, then the period of failure to appear to the doctor is entered on the certificate of incapacity for work. This is due to the fact that, in accordance with the decision of the medical commission, in this case the provisions of paragraph 14 of the Procedure can be applied and the issuance of a certificate of incapacity for outpatient treatment is carried out with the inclusion of the past days in the “Exemption from work” table.

Otherwise, if the period of non-appearance is not written down in the certificate of incapacity for work, then the citizen who appears for the next examination by a doctor and remains disabled will not be paid benefits for the period of non-appearance, which is a violation of the norms enshrined in Articles 7 and 8 of the said Law.

18. Question. Is the period of examination indicated in the table “Exemption from work” if the disability group is not established during the examination of a citizen at the ITU bureau?

Answer: In accordance with paragraph 29 of the Procedure, temporarily disabled persons for whom disability has not been established can be issued a certificate of incapacity for work by decision of the medical commission until their ability to work is restored, with the frequency of extending the certificate of incapacity for work by decision of the medical commission at least after 30 days or until re-directed to medical examination .

The inspection period is included

in the table “Exemption from work” and in the absence of signs of temporary disability, the employee is discharged to work.

19. Question. The woman is on leave to care for her second child; she was admitted to the hospital to care for her first child. At the same time, the second child fell ill. Can a father receive a certificate of incapacity for work in connection with caring for a second child?

Answer: According to paragraph 35 of the Procedure, a certificate of incapacity for work for caring for a sick child is issued to any family member who is subject to compulsory social insurance and is actually caring for a sick child.

In this case, the father who is actually caring for the second sick child needs to be released from work, and he must be issued a certificate of incapacity for caring for a sick child, in accordance with the general procedure.

20. Question. For a period of temporary disability exceeding 30 calendar days, is the signature of the chairman of the medical commission required in each line of the table “Exemption from work”?

Answer: According to paragraph 60 of the Procedure, when issuing a certificate of incapacity for work by decision of the medical commission, in the columns “Position of the doctor” and “Last name and initials of the doctor or identification number”, the surname, initials and position of the doctor, the surname and initials of the chairman of the medical commission are indicated after each case considered medical commission.

At the same time, in the current regulatory legal acts there is no rule limiting the right of the attending physician to extend the certificate of incapacity for work from the 31st day of incapacity for work every 10 days (until the next meeting of the commission), individually.

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Application of a new sick leave (by order of the Ministry of Health and Social Development of Russia No. 347n): nuances

It will be useful to consider a number of other nuances that characterize the use of sick leave certificates of the new type by employers (of course, relatively new - they were approved in 2011, but nevertheless they have specifics that should be paid attention to).

First of all, there are a number of formal requirements for filling out a certificate of incapacity for work. So:

  • it must be filled with ink, gel, capillary or fountain pen, but not ballpoint;
  • characters are not allowed to go beyond the boundaries of document cells;
  • characters must be recorded in the document starting from the very first cell.

The sick leave must be certified with a seal that does not appear on certain cells of the document. The fact that, for example, code 02 and not any other is indicated on the sick leave certificate should be obvious to the inspector. In this case, the check can be carried out using a scanner, which will not be able to recognize the code if the seal is layered on the sick leave information field.

The seal of the medical institution must be clear - so that its name is readable (which must coincide with that indicated in the document).

If there are errors in the sick leave certificate or it is filled out incorrectly, the employer must ask the employee to bring a duplicate of the document, filled out taking into account all the requirements (their full list is given in the order of the Ministry of Health and Social Development of Russia dated June 29, 2011 No. 624n).

Results

A sick leave certificate is a document on the basis of which the employer determines, firstly, the amount of compensation for the employee’s temporary disability, and secondly, the duration of paid sick leave. To do this, the various codes recorded on the certificate of incapacity for work are deciphered. When applying sick leave, the employer needs to take into account their correlation.

You will learn more about the peculiarities of using sick leave by employers from the articles:

  • “Is sick leave (sick leave) subject to personal income tax?”;
  • “Payment for sick leave to care for a sick relative”.

You can find more complete information on the topic in ConsultantPlus. Free trial access to the system for 2 days.

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